Common approaches used to wean patients from ventilatory support ...

[bobypop]

Common approaches used to wean patients from ventilatory support include which of the fol-lowing? 1. T tube alternating with mechanical ventilation 2. Pressure-supported ventilation (PSV) 3. Intermittent mandatory ventilation
 
  a. 2 and 3 only
  b. 1 and 2 only
  c. 1, 2, and 3
  d. 1 and 3 only

Question 2

Which of the following health care disciplines should be involved in the care of a patient who is considered difficult to wean? 1. Physical therapy 2. Speech therapy 3. Social services 4. Occupational therapy
 
  a. 1 and 2 only
  b. 2 and 3 only
  c. 1, 2, and 4 only
  d. 1, 2, 3, and 4

[IRincones]

Answer to Question 1

ANS: C
There are three basic methods of discontinuing ventilatory support: (1) spontaneous breathing trials (usually with a T tube) alternating with mechanical ventilatory support, (2) intermittent mandatory ventilation, and (3) PSV.

Answer to Question 2

ANS: D
This patient should be classified as a difficult to wean patient that would benefit from a program designed specifically for patients failing to wean. This program should systemically evaluate all systems to determine the cause of weaning failure and include the assistance of other health care providers, specifically physical therapy, occupational therapy, speech and language pathology, as well as social service. Ideally this should take place in a unit specifically designed for patients who are difficult to wean.

[bobypop]

TYSM

[shailee]

Gracias!